• 1

    Abbasi AA, Chempavil JK, Farah S, Muller BF, Arnstein AR, 1979. Hypercalcemia in active pulmonary tuberculosis. Ann Intern Med 90 :324–328.

    • Search Google Scholar
    • Export Citation
  • 2

    Sharma SC, 1981. Serum calcium in pulmonary tuberculosis. Postgrad Med J 57 :694–696.

  • 3

    Roussos A, Lagogianni I, Gonis A, Ilias I, Kazi D, Patsopoulos D, Philippou N, 2001. Hypercalcemia in Greek patients with tuberculosis before the initiation of anti-tuberculosis treatment. Respir Med 95 :187–190.

    • Search Google Scholar
    • Export Citation
  • 4

    Tobias H, Sherman A, 1996. Hepatobiliary tuberculosis. Rom WN, Garay SM, Bloom M, eds. Tuberculosis. First edition. Boston: Little, Brown and Company, 599–608.

  • 5

    Alvarez SZ, 1998. Hepatobiliary tuberculosis. J Gastroenterol Hepatol 13 :833–839.

  • 6

    Mert A, Ozaras R, Tabak F, Ozturk R, Bilir M, 2003. Localized hepatic tuberculosis (letter). Eur J Intern Med 14 :511–512.

  • 7

    Fisken RA, Heath DA, Somers S, Bold AM, 1981. Hypercalcemia in hospital patients: clinical and diagnostic aspects. Lancet 1 :202–207.

  • 8

    Shek CC, Natkunam A, Tasng V, Cockram CS, Swaminathan R, 1990. Incidence, causes and mechanism of hypercalcemia in a hospital population in Hong Kong. QJM 284 :1277–1285.

    • Search Google Scholar
    • Export Citation
  • 9

    Sharma OP, 2000. Hypercalcemia in granulomatous disorders: a clinical review. Curr Opin Pulm Med 6 :442–447.

  • 10

    Rook G, 1988. The role of vitamin D in tuberculosis. Am Rev Resp Dis 138 :768–770.

  • 11

    Need AG, Phillips PJ, Chiu FTS, Prisk HM, 1980. Hypercalcemia associated with tuberculosis. BMJ 280 :831.

  • 12

    Liam CK, Lim KH, Srinivas P, Poi PJH, 1998. Hypercalcemia in patients with newly diagnosed tuberculosis in Malaysia. Int J Tuberc Lung Dis 2 :818–823.

    • Search Google Scholar
    • Export Citation
  • 13

    Essop AR, Posen JA, Hodkinson JH, Segal I, 1984. Tuberculosis hepatitis, a clinical review of 96 cases. QJM 212 :465–477.

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HYPERCALCEMIA IN HEPATIC TUBERCULOSIS: A CASE REPORT IN KOREA

EUN SEOK KANGDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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MI YOUNG DODepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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SO YOUNG PARKDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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KYU YEON HURDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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CHUL WOO AHNDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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BONG SOO CHADepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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SUNG KIL LIMDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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KYUNG RAE KIMDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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HYUN CHUL LEEDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea

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Although primary hyperparathyroidism and malignant diseases account for approximately 90% of the causes of hypercalcemia, they could occur in association with granulomatous diseases such as tuberculosis or sarcoidosis, especially in developing countries. Hepatic tuberculosis is difficult to diagnosis without suspicion in cases with normal findings on chest radiographs. We report a 70-year-old woman who presented with hypercalcemia due to hepatic tuberculosis. The diagnosis was made by a computed tomography scan and laparoscopic evaluation. After treatment with anti-tuberculosis medication, her hypercalcemia resolved. Increased vitamin D synthesis by activated macrophages in the granuloma tissue is the major mechanism of hypercalcemia in tuberculosis.

Author Notes

Reprint requests: Hyun Chul Lee, Department of Internal Medicine, Yonsei University College of Medicine, 134 Shinchondong Seodaemungu, Seoul 120-752, South Korea, Telephone: 82-2-361-5425, Fax: 82-2-393-6884, E-mail: edgo@yumc.yonsei.ac.kr.
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